广泛型侵袭性牙周炎患者治疗期间牙齿缺失和牙槽嵴骨丢失情况分析

doi:10.13701/j.cnki.kqyxyj.2019.09.007

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (9): 846-849.DOI: 10.13701/j.cnki.kqyxyj.2019.09.007

广泛型侵袭性牙周炎患者治疗期间牙齿缺失和牙槽嵴骨丢失情况分析

陈洁^*, 夏凤君, 王慧

内蒙古医科大学附属医院口腔科内蒙古呼和浩特 010050

收稿日期:2018-11-21 出版日期:2019-09-28 发布日期:2019-09-25
通讯作者: 陈洁,E-mail:15024920320@163.com
作者简介:陈洁(1982~ ),女,内蒙古乌海市人,硕士,主治医师,研究方向:口腔牙体牙髓病学。
基金资助:
2017年度自治区卫生计划项目任务书项目(编号:201701059)

Analysis of Tooth Loss and Alveolar Bone Loss in the Treatment of Patients with Generalized Aggressive Periodontitis

CHEN Jie^*, XIA Fengjun, WANG Hui

Department of Stomatology, The Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China

Received:2018-11-21 Online:2019-09-28 Published:2019-09-25

摘要/Abstract

摘要： 目的:探讨广泛型侵袭性牙周炎(GAgP)患者治疗期间牙齿缺失情况和牙槽骨的变化,以及潜在危险因素。方法:回顾性分析2017年3月~2018年3月在我院治疗的36例GAgP患者临床资料,472颗牙齿经过牙基础治疗,在治疗前和治疗后3个月时通过锥形束CT(CBCT)检测患者附着丧失(CAL)、探诊深度(PD)、出血指数(CI),并测量其牙槽嵴顶灰度值(HU)和牙槽嵴顶高度(%),确定患者牙齿脱落的发生率及危险因素,用线性回归模型评估患牙脱落危险因素的相关性。结果:所有患者治疗前后,其BI,CAL,PD均有显著改善,差异具有统计学意义(P＜0.05),治疗后3个月患者总体牙槽嵴顶高度显著高于治疗前,差异具有统计学意义(P＜0.05),牙槽嵴HU值高于治疗前,差异具有统计学意义(P＜0.05),根据单因素线性回归分析,吸烟是导致GAgP患者牙齿脱落的主要原因。结论:GAgP患者经过治疗能有效改善牙齿缺失和牙槽嵴骨丢失。

关键词: 广泛型, 侵袭性牙周炎, 牙齿缺失, 牙槽骨缺失

Abstract: Objective: To investigate the changes of tooth loss and alveolar bone in the treatment of patients with generalized aggressive periodontitis (GAgP) as well as its potential risk factors. Methods: The clinical data of 36 patients with GAgP who were admitted in our hospital between March 2017 and March 2018 were retrospectively analyzed. 472 teeth were treated with basic treatment. The clinic attachment loss (CAL), depth of probing (PD), bleeding index (CI), alveolar crest gray value (HU), and alveolar crest height (%) were detected and measured by cone beam CT(CBCT) before and 3 months after treatment to determine the incidence of shedding and risk factors. The correlation of shedding risk factors was evaluated by linear regression models. Results: The BI, CAL, and PD before and after treatment in all patients were significant improved (P<0.05). The total alveolar crest height in 3 months after treatment was significantly higher than that before treatment (P<0.05). The difference of alveolar HU value was statistically significant compared with that before treatment (P<0.05). According to the single factor linear regression analysis, smoking was the main cause of tooth loss in GAgP patients. Conclusion: Patients with GAgP can be effectively improved in tooth loss and alveolar bone loss after treatment.

Key words: generalized, aggressive periodontitis, tooth loss, alveolar bone loss

陈洁, 夏凤君, 王慧. 广泛型侵袭性牙周炎患者治疗期间牙齿缺失和牙槽嵴骨丢失情况分析[J]. 口腔医学研究, 2019, 35(9): 846-849.

CHEN Jie, XIA Fengjun, WANG Hui. Analysis of Tooth Loss and Alveolar Bone Loss in the Treatment of Patients with Generalized Aggressive Periodontitis[J]. Journal of Oral Science Research, 2019, 35(9): 846-849.

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广泛型侵袭性牙周炎患者治疗期间牙齿缺失和牙槽嵴骨丢失情况分析

Analysis of Tooth Loss and Alveolar Bone Loss in the Treatment of Patients with Generalized Aggressive Periodontitis

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